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目的为规范我院妇科Ⅰ类切口手术患者围术期抗生素使用提供依据。方法对我院2013年7月-2014年6月妇科Ⅰ类切口手术共743例进行回顾性分析,包括药物品种选择、给药时机、疗程、术后感染情况等。结果 743例中有326例使用了抗菌药物,使用率为43.9%,使用率前3的依次是头孢孟多、头孢呋辛、环丙沙星;术前0.5~2h内使用的有256例(78.5%),术前>24h使用9例(2.8%),平均用药时间1.4d;术后发生感染15例(2.0%)。结论部分妇科Ⅰ类切口手术病例存在用药品种选择不当、首次给药时机欠合理、用药疗程偏长等现象,临床医师应严格按照卫生部文件执行,规范使用。
Objective To standardize the class Ⅰ gynecological surgical incision in patients with perioperative antibiotics provide the basis for use. Methods A retrospective analysis was performed on 743 cases of gynecological class Ⅰ incision in our hospital from July 2013 to June 2014, including the selection of drugs, timing of drug delivery, duration of treatment and postoperative infection. Results Among the 743 cases, 326 cases were used antibacterial drugs, with a utilization rate of 43.9%. The top three followed by cefmetazole, cefuroxime and ciprofloxacin were used in 256 cases 78.5%), 9 cases (2.8%) preoperative> 24h, mean medication time 1.4d; 15 cases (2.0%) after operation. Conclusions Some cases of gynecological class Ⅰ incision operation have improper selection of drugs, improper timing of the first administration and long course of treatment. Clinicians should strictly follow the Ministry of Health documents and use it in a standardized way.